团体心理治疗对躯体形式障碍患者的影响
发布时间：2018-07-17 06:27
【摘要】：目的探讨团队心理治疗对躯体形式障碍患者早期干预的疗效。方法选取2014年10月-2015年1月海南省儋州市农垦那大医院收治的躯体形式障碍患者97例,依据随机数表法分为A组(团体心理治疗32例)、B组(药物治疗33例)、C组(团队心理治疗+药物治疗32例),比较3组患者的临床疗效和躯体形式症状筛查量表(SOMS-7)、大体评定量表(GAS)及汉密尔顿抑郁量表(HAMD)评分。结果 A组显效率为62.50%,好转率为81.25%;B组显效率为63.64%,好转率为84.85%;C组显效率为87.50%,好转率为96.88%,组间比较,差异有统计学意义(P0.05),C组患者的显效率和好转率高于A、B组。治疗前,3组患者的SOMS-7评分比较,差异无统计学意义(P0.05)。治疗后48周,A组、B组及C组的SOMS-7评分为(10.44±2.17)、(10.72±2.11)和(6.75±2.09)分,经方差分析,差异有统计学意义(P0.05)。C组的SOMS-7评分低于A、B组。治疗前,3组患者的GAS评分比较,差异无统计学意义(P0.05)。治疗后48周,A组、B组及C组的GAS评分为(76.18±5.44)、(77.29±5.19)和(84.25±5.91)分,经F检验,差异有统计学意义(P0.05)。C组的GAS评分高于A、B组。3组患者的HAMD评分比较,差异无统计学意义(P0.05)。治疗后48周3组患者的HAMD评分比较,差异有统计学意义(P0.05),C组患者的HAMD评分低于A、B组。结论团体心理治疗联合药物使用在治疗躯体形式障碍方面成效好,能够改善患者精神状况及临床症状。
[Abstract]:Objective to explore the effect of group psychotherapy on early intervention in patients with somatoform disorder. Methods 97 patients with somatoform disorder were selected from October 2014 to January 2015 in Nongkenanada Hospital, Danzhou City, Hainan Province. According to the random number table method, group A (32 cases of group psychotherapy) and group B (33 cases of drug therapy) were divided into group C (32 cases of group psychotherapy) and group C (32 cases of group psychotherapy). The clinical efficacy and somatoform symptom screening scale (SOMS-7) of 3 groups were compared. Body rating scale (gas) and Hamilton Depression scale (Hamd). Results the effective rate of group A was 62.50, the improvement rate of group B was 83.64, the improvement rate of group C was 87.50 and the improvement rate of group C was 96.888.The difference was statistically significant (P0.05). There was no significant difference in SOMS-7 score between the three groups before treatment (P0.05). The SOMS-7 scores of group A and group C were (10.44 卤2.17), (10.72 卤2.11) and (6.75 卤2.09) at 48 weeks after treatment. The difference was statistically significant (P0.05) .The score of SOMS-7 in group C was significantly lower than that in group A (P0.05). Before treatment, there was no significant difference in gas scores among the three groups (P0.05). The gas scores of group A and group C were (76.18 卤5.44), (77.29 卤5.19) and (84.25 卤5.91) at 48 weeks after treatment. The difference was statistically significant (P0.05). The score of gas in group C was higher than that in group AMB (P0.05). At 48 weeks after treatment, the Hamd scores of the three groups were significantly different (P0.05) the Hamd score of the C group was lower than that of the Agna B group. Conclusion Group psychotherapy combined with drug therapy is effective in the treatment of somatoform disorders and can improve the mental status and clinical symptoms of the patients.
【作者单位】： 海南省儋州市农垦那大医院精神病科;海南省安宁医院心理科;
【基金】：海南省医学科研基金资助项目(No:1421320.57A2004)
【分类号】：R749.7
[Abstract]:Objective to explore the effect of group psychotherapy on early intervention in patients with somatoform disorder. Methods 97 patients with somatoform disorder were selected from October 2014 to January 2015 in Nongkenanada Hospital, Danzhou City, Hainan Province. According to the random number table method, group A (32 cases of group psychotherapy) and group B (33 cases of drug therapy) were divided into group C (32 cases of group psychotherapy) and group C (32 cases of group psychotherapy). The clinical efficacy and somatoform symptom screening scale (SOMS-7) of 3 groups were compared. Body rating scale (gas) and Hamilton Depression scale (Hamd). Results the effective rate of group A was 62.50, the improvement rate of group B was 83.64, the improvement rate of group C was 87.50 and the improvement rate of group C was 96.888.The difference was statistically significant (P0.05). There was no significant difference in SOMS-7 score between the three groups before treatment (P0.05). The SOMS-7 scores of group A and group C were (10.44 卤2.17), (10.72 卤2.11) and (6.75 卤2.09) at 48 weeks after treatment. The difference was statistically significant (P0.05) .The score of SOMS-7 in group C was significantly lower than that in group A (P0.05). Before treatment, there was no significant difference in gas scores among the three groups (P0.05). The gas scores of group A and group C were (76.18 卤5.44), (77.29 卤5.19) and (84.25 卤5.91) at 48 weeks after treatment. The difference was statistically significant (P0.05). The score of gas in group C was higher than that in group AMB (P0.05). At 48 weeks after treatment, the Hamd scores of the three groups were significantly different (P0.05) the Hamd score of the C group was lower than that of the Agna B group. Conclusion Group psychotherapy combined with drug therapy is effective in the treatment of somatoform disorders and can improve the mental status and clinical symptoms of the patients.
【作者单位】： 海南省儋州市农垦那大医院精神病科;海南省安宁医院心理科;
【基金】：海南省医学科研基金资助项目(No:1421320.57A2004)
【分类号】：R749.7
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